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Out On The Couch

Helping Queer Clients Become Their Own Liberators

Posted: 9-9-20 | matthew-spector

Liberation Psychology’s Critical Contribution

Keywords: Liberation, Psychology, LGBTQIA+, Affirmative, Queer, Decolonizing, Martin-Baro, Anti-oppression

Liberation psychology strives to understand and address the oppressive sociopolitical structures affecting communities in order to promote their healing (Martín-Baró, 1994). Developed by the Spanish-born psychologist Ignacio Martín–Baró in 1970s El Salvador, liberation psychology tasks itself with examining contexts of oppression in [...]

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How to Help Clients with Queer Impostor Syndrome

Posted: 8-19-20 | Madeline Hodgman

Keywords: queer, LGBTQ, LGBTQIA, impostor syndrome, impostor, cognitive behavioral therapy, CBT, core beliefs

I thought I identified one way, but now I’m not sure. What if this really was just a phase?

I’m afraid I won’t like all of the changes medical transition will cause to my body. What if I’m not really trans?

Can [...]

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Long-term Survivors Living with HIV: Considerations for Practice

Posted: 8-1-20 | Jill Gover, Ph.D.

In my previous article, I explored the many challenges unique to individuals who are aging with HIV. In order to overcome these, long-term survivors (LTS) need the support and expertise of competent psychotherapists. Effective treatment to reduce symptoms from this type of sustained trauma requires interventions that focus on strengthening resiliencies and creating a [...]

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A COVID-Era Review of Five Fabulous LGBTQIA+ Adult Coloring Books

Posted: 7-11-20 | Stephanie Sullivan

Coloring books aren’t just for children anymore: adult coloring books have gained great popularity in the last few years. They have been found to reduce symptoms of anxiety and depression; increase perseverance; and provide short-term stress relief (Eaton & Tieber, 2017; Flett et al., 2017; Rajendran et al., 2020; Simmons, 2016). Adult coloring books have [...]

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Long-term Survivors Living with HIV: History and Clinical Considerations

Posted: 6-23-20 | Jill Gover, Ph.D.

This year, more than 70% of people living with HIV (PLWH) in the U.S. will be ages 50 and older–up from 50% in 2015 (Anderson, 2015). The HIV epidemic has disproportionately impacted LGBTQIA+ people and people of color since its inception (Anderson, 2015). As anti-retroviral therapy (ART) continues to improve, the number of older PLWH [...]

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Maintaining Hope & Self-Compassion for LGBTQIA+ Clients During Covid-19

Posted: 4-22-20 | Megan Tucker

By now, we are all experiencing the impact of the ubiquitous trauma and stress surrounding COVID-19 in some way. What might have started with a distal awareness of the problem quickly snapped to a reality that the world will forever be changed by this virus. You might have also noticed the varying “stages of

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How Psychotherapists Can Help LGBTQIA+ Clients Cope with COVID-19

Posted: 4-8-20 | The Affirmative Couch

Alison Picard, MA, AMFT

All corners of our society are affected by the current global health crisis caused by COVID-19. Beyond the obvious risks of severe illness and mortality, many of our clients are managing the myriad mental health effects of financial insecurity, social isolation or co-quarantine, and general societal uncertainty.  LGBTQIA+ communities [...]

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Telepsychotherapy Protects Queer Communities From COVID-19

Posted: 3-15-20 | The Affirmative Couch

Telehealth offers psychotherapists a way to provide quality mental health services while still practicing and promoting extreme social distancing. This practice, instituted early, can help save lives during the COVID-19 pandemic (Pueyo, 2020; Stevens, 2020). Psychotherapists who work with queer communities should be switching to telehealth in order to decrease the risk faced [...]

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Dating Violence Among LGBTQIA+ Teens

Posted: 2-29-20 | Muria Nisbett

Muria Nisbett, LCSW

As a mental health professional, you may be familiar with some of the issues faced by teens who identify as LGBTQIA+: bullying, harassment, rejection, and physical and emotional violence. One lesser known and often undiscussed issue is teen dating violence (TDV). Violence against LGBTQIA+ teens is usually categorized as a hate [...]

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Helping Clients to Negotiate Intimate Relationship Contracts

Posted: 2-24-20 | Sharaine Conner

Sharaine Conner, LMSW, IADC

It can be difficult to find guidance on writing effective relationship contracts, largely because the therapeutic community lacks consensus on the efficacy of such documents. Many clinicians believe that contracts serve the purpose of simply negotiating sexual acts and dynamics, and that by creating a contract, clients can sacrifice creativity [...]

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